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NPI Code Detail

MEDICARE: LORENA GAIL DODDS RN

MEDICARE:   LORENA GAIL DODDS  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WH0200XHome Health Registered NurseRN.259715OH

General Provider Information

NPI Number : 1033562756
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORENA GAIL DODDS RN
Provider Business Mailing Address
First Line : 104 S CARLISLE ST PO BOX 225
Second Line :
City : QUINCY
State : OH
Zip : 43343
Country : US
Telephone Number : 937-441-0484
Fax Number : 937-585-5857
Provider Business Practice Location Address
First Line : 104 S CARLISLE ST
Second Line :
City : QUINCY
State : OH
Zip : 43343
Country : US
Telephone Number : 37-585-5858
Fax Number : 937-585-5857
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2016
Last Update Date : 09/24/2018

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Directions to “ LORENA GAIL DODDS RN” Practice Location

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